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Development of a prognostic nomogram for esophageal squamous cell carcinoma patients received radiotherapy based on clinical risk factors

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机构: [1]Hebei Med Univ, Hosp 4, Dept Computed Tomog & Magnet Resonance Imaging, Shijiazhuang, Hebei, Peoples R China [2]Fourth Hosp Shijiazhuang, Dept Anesthesiol, Shijiazhuang, Hebei, Peoples R China [3]Hebei Med Univ, Hosp 2, Shijiazhuang, Hebei, Peoples R China [4]Hebei Childrens Hosp, Dept Computed Tomog & Magnet Resonance Imaging, Shijiazhuang, Hebei, Peoples R China [5]First Hosp Qinhuangdao, Dept Radiol, Qinhuangdao, Hebei, Peoples R China [6]Hebei Med Univ, Hosp 4, Dept Radiotherapy, Shijiazhuang, Hebei, Peoples R China
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关键词: carcinoma squamous cell esophageal neoplasms radiotherapy locoregional recurrence-free survival nomogram

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Purpose: The goal of the study was to create a nomogram based on clinical risk factors to forecast the rate of locoregional recurrence-free survival (LRFS) in patients with esophageal squamous cell carcinoma (ESCC) who underwent radiotherapy (RT). Methods: In this study, 574 ESCC patients were selected as participants. Following radiotherapy, subjects were divided into training and validation groups at a 7:3 ratio. The nomogram was established in the training group using Cox regression. Performance validation was conducted in the validation group, assessing predictability through the C-index and AUC curve, calibration via the Hosmer-Lemeshow (H-L) test, and evaluating clinical applicability using decision curve analysis (DCA). Results: T stage, N stage, gross tumor volume (GTV) dose, location, maximal wall thickness (MWT) after RT, node size (NS) after RT, Delta computer tomography (CT) value, and chemotherapy were found to be independent risk factors that impacted LRFS by multivariate cox analysis, and the findings could be utilized to create a nomogram and forecast LRFS. the area under the receiver operating characteristic (AUC) curve and C-index show that for training and validation groups, the prediction result of LRFS using nomogram was more accurate than that of TNM. The LRFS in both groups was consistent with the nomogram according to the H-L test. The DCA curve demonstrated that the nomogram had a good prediction effect both in the groups for training and validation. The nomogram was used to assign ESCC patients to three risk levels: low, medium, or high. There were substantial variations in LRFS between risk categories in both the training and validation groups (p<0.001, p=0.003). Conclusions: For ESCC patients who received radiotherapy, the nomogram based on clinical risk factors could reliably predict the LRFS.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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出版当年[2024]版:
Q2 ONCOLOGY
最新[2024]版:
Q2 ONCOLOGY

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第一作者机构: [1]Hebei Med Univ, Hosp 4, Dept Computed Tomog & Magnet Resonance Imaging, Shijiazhuang, Hebei, Peoples R China
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通讯机构: [6]Hebei Med Univ, Hosp 4, Dept Radiotherapy, Shijiazhuang, Hebei, Peoples R China
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